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Pessinaba S, Sonhaye L, Agbétiafa M, Wossinu Quacoe M, Aloumon M, Yayehd K, Amadou L, d'Alméida R, Damorou F. [The chronic constrictive pericarditis, a real calcified gangue realizing a mid-ventricular bottleneck: A case report]. Ann Cardiol Angeiol (Paris) 2019; 68:125-128. [PMID: 30149893 DOI: 10.1016/j.ancard.2018.07.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2017] [Accepted: 07/25/2018] [Indexed: 06/08/2023]
Abstract
A 30-year-old woman consulted for a predominantly right-sided global heart failure chart that had been evolving for about 3 months. Its antecedents include a concept of poorly treated pleuropulmonary tuberculosis at the age of 8 years. Lateral chest X-ray, transthoracic echocardiography and thoracic CT showed ventricular ring calcification with mid-ventricular compression with apical ballooning. The diagnosis of chronic mid-ventricular constrictive pericarditis of tuberculosis etiology was retained. The patient was put on diuretic treatment and the immediate evolution is favorable with a regression of the signs of congestion. Surgical decortication has been indicated.
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Affiliation(s)
- S Pessinaba
- Service cardiologie, CHU de Campus, Lomé, Togo.
| | - L Sonhaye
- Service de radiologie et d'imagerie médicale, CHU de Campus, Lomé, Togo
| | - M Agbétiafa
- Service cardiologie, CHU de Campus, Lomé, Togo
| | | | - M Aloumon
- Service cardiologie, CHU de Campus, Lomé, Togo
| | - K Yayehd
- Service cardiologie, CHU de Campus, Lomé, Togo
| | - L Amadou
- Service de radiologie et d'imagerie médicale, CHU de Campus, Lomé, Togo
| | - R d'Alméida
- Service cardiologie, CHU de Campus, Lomé, Togo
| | - F Damorou
- Service cardiologie, CHU de Campus, Lomé, Togo
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Pessinaba S, Atti YDM, Baragou S, Yayehd K, Pio M, Afassinou YM, Kpelafia M, Kaziga WD, Simwetare MF, D'alméida R, Aloumon M, Agbétiafa M, Panchut Nsangou N, Damorou F. [Thrombolysis in pulmonary embolism with high mortality risk: Experience of a cardiology department in sub-Saharan Africa]. Ann Cardiol Angeiol (Paris) 2019; 68:28-31. [PMID: 30290914 DOI: 10.1016/j.ancard.2018.08.026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2017] [Accepted: 08/24/2018] [Indexed: 06/08/2023]
Abstract
INTRODUCTION High-risk pulmonary embolism (PE) accounts for 5% of total acute PE and is a life-threatening emergency requiring immediate therapeutic management by fibrinolysis. The objective of this work is to describe the experience of thrombolysis in high-risk PE in a cardiology department in Togo. PATIENTS AND METHODS This is an analytical and descriptive study carried out in the cardiology department of the Campus teaching hospital of Lomé over a period of 5 years (August 2012 to July 2017) concerning patients hospitalized for high-risk mortality PE and having undergone streptokinase thrombolysis. RESULTS Twenty-eight of the 102 PE were at high risk of mortality (27.5%). They were 9 men and 19 women with an average age of 61.9±14.1 years. The mean systolic blood pressure was 65mmHg and 50% of the patients were placed on dobutamine. Thrombolysis was performed in 22 of the 28 patients (78.6%). Eighteen patients had a short protocol and 4 a long protocol. The mortality rate was 32.1% or 13.6% in the thrombolysis PE versus 100% in the non-thrombolysis PE (P=0.01). Causes of death in thrombolysis were persistent shock (2 cases) at the end of thrombolysis and sudden death occurred 1 month after hospitalization. The average hospital stay was 18.8 days. CONCLUSION The high-risk PE remains today a pathology burdened with heavy mortality. Thrombolysis remains the first treatment to reduce this mortality.
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Affiliation(s)
- S Pessinaba
- Service de cardiologie, CHU Campus Lomé, 03 BP, 30284 Lomé, Togo.
| | - Y D M Atti
- Service de cardiologie, CHU Campus Lomé, 03 BP, 30284 Lomé, Togo
| | - S Baragou
- Service de cardiologie, CHU Sylvanus, Olympio, Togo
| | - K Yayehd
- Service de cardiologie, CHU Campus Lomé, 03 BP, 30284 Lomé, Togo
| | - M Pio
- Service de cardiologie, CHU Sylvanus, Olympio, Togo
| | | | - M Kpelafia
- Service de cardiologie, CHU Campus Lomé, 03 BP, 30284 Lomé, Togo
| | - W D Kaziga
- Service de cardiologie, CHU Campus Lomé, 03 BP, 30284 Lomé, Togo
| | - M F Simwetare
- Service de cardiologie, CHU Campus Lomé, 03 BP, 30284 Lomé, Togo
| | - R D'alméida
- Service de cardiologie, CHU Campus Lomé, 03 BP, 30284 Lomé, Togo
| | - M Aloumon
- Service de cardiologie, CHU Campus Lomé, 03 BP, 30284 Lomé, Togo
| | - M Agbétiafa
- Service de cardiologie, CHU Campus Lomé, 03 BP, 30284 Lomé, Togo
| | | | - F Damorou
- Service de cardiologie, CHU Campus Lomé, 03 BP, 30284 Lomé, Togo
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